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Sleep and RestSleep and Rest
Nursing Fundamental
NURS B20
Nursing Fundamental
NURS B20
SLEEP AND RESTSLEEP AND REST
The need for sleep and rest is important in the quality of life for all persons
Sleep- The natural periodic suspension of consciousness during which the powers of the body are restored
Rest- A person at rest feels mentally relaxed, free from worry, and physically calm. Does not imply inactivity
The need for sleep and rest is important in the quality of life for all persons
Sleep- The natural periodic suspension of consciousness during which the powers of the body are restored
Rest- A person at rest feels mentally relaxed, free from worry, and physically calm. Does not imply inactivity
Physiology of SleepPhysiology of Sleep
Circadian Rhythm Sleep Regulation
– Reticular Activating System– Bulbar Synchronizing Region
Sleep Cycle– Stage 1: nonREM– Stage 2: nonREM– Stage 3: nonREM– Stage 4: nonREM– REM Sleep
Circadian Rhythm Sleep Regulation
– Reticular Activating System– Bulbar Synchronizing Region
Sleep Cycle– Stage 1: nonREM– Stage 2: nonREM– Stage 3: nonREM– Stage 4: nonREM– REM Sleep
Physiology of SleepPhysiology of Sleep
nonREM sleep needed for tissue restoration of all body tissues
REM sleep benefits the brain most significantly– Brain tissue is restored– Cognitive function is also restored– Believed it may help memory
Loss of REM= feelings of suspicion and confusion
nonREM sleep needed for tissue restoration of all body tissues
REM sleep benefits the brain most significantly– Brain tissue is restored– Cognitive function is also restored– Believed it may help memory
Loss of REM= feelings of suspicion and confusion
Sleep CycleSleep Cycle
1 - 2 - 3 - 4 - 3 - 2 - REM - 2 - 3 - 4 1 - 2 - 3 - 4 - 3 - 2 - REM - 2 - 3 - 4
Factors Affecting SleepFactors Affecting Sleep
Illness Medications Life-Style Emotional State Environmental Factors Exercise and Fatigue Caloric Intake
Illness Medications Life-Style Emotional State Environmental Factors Exercise and Fatigue Caloric Intake
Common Types of Sleep Disturbances
Common Types of Sleep Disturbances
Insomnia Sleep Apnea
– Obstructive– Central
Narcolepsy
Insomnia Sleep Apnea
– Obstructive– Central
Narcolepsy
Nursing ProcessNursing Process
Assessment– Sleep history– Observation for behaviors of sleep deprivation
Nursing Diagnosis– Sleep Pattern Disturbances– Risk for Injury– Altered Thought Processes– Ineffective Coping
Assessment– Sleep history– Observation for behaviors of sleep deprivation
Nursing Diagnosis– Sleep Pattern Disturbances– Risk for Injury– Altered Thought Processes– Ineffective Coping
Nursing ProcessNursing Process
Planning– Goal will be made to promote normal, restful
sleep for clients having sleep disturbances and/ or difficulties
Planning– Goal will be made to promote normal, restful
sleep for clients having sleep disturbances and/ or difficulties
Nursing ProcessNursing Process
Interventions to promote sleep and rest– Environmental controls– Promote bedtime rituals or routines– Client education
Evaluation determines whether the interventions have promoted a normal sleep pattern, minimized sleep deprivation symptoms, and improved client understanding of how to promote sleep.
Interventions to promote sleep and rest– Environmental controls– Promote bedtime rituals or routines– Client education
Evaluation determines whether the interventions have promoted a normal sleep pattern, minimized sleep deprivation symptoms, and improved client understanding of how to promote sleep.